Individual provider Active NPI

Titay Belayneh Ayano

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1487354684
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5464 Issued in TN
Practice address
1900 Patterson St Ste 205
Nashville, TN 37203-2165
Phone
(615) 329-0341
NPI assigned
Mar 6, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5464 TN Primary

Addresses

Primary practice location

1900 Patterson St Ste 205
Nashville, TN 37203-2165

Mailing address

1900 Patterson St
Nashville, TN 37203-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821003054 TN Practitioner - Physician Assistant 8325400435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davishire Dermatology LLCGroup PAC ID 2860870979, 7 clinicians

Practice addresses (Care Compare)

1900 Patterson St
Suite 205
Nashville, TN 37203-2165
Phone (615) 329-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5464TNMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1487354684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PATTERSON ST STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032165",
            "telephone_number": "615-329-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYANO",
        "first_name": "TITAY",
        "middle_name": "BELAYNEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.